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32. 1997 Economic Census





202. Procedures for Inpatients Discharged From Short-Stay Hospitals

[24,494 represents 24,494,000. Excludes newborn infants and discharges from federal hospitals. Comparisons between data for 1980 to 1987 with data for subsequent years should be made with caution as estimates of change may reflect improvements in the design rather than true changes in hospital use. Based on sample data collected from the National Hospital Discharge Survey, a sample survey of hospital records of patients discharged in year shown; subject to sampling variability]

 
Number of procedures Number of procedures Number of procedures Rate per 1,000 Rate per 1,000 Rate per 1,000
(1,000) (1,000) (1,000) population 1 population 1 population 1
Sex and type of procedure    
1980 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1980 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998
 
  Surgical procedures, total 2 3 24,494 24,799 25,041 25,655 25,625 23,370 23,051 23,403 23,253 22,767 22,629 22,530 22,980 22,927 23,780 108.6 104.6 104.6 106.2 105.0 94.8 92.4 93.4 91.7 88.8 87.4 86.2 87.0 84.8 87.1
Cardiac catheterization 348 681 775 866 930 958 995 1,000 1,028 1,010 1,048 1,068 1,161 1,112 1,202 1.5 2.9 3.2 3.6 3.8 3.9 4.0 4.0 4.1 3.9 4.0 4.1 4.4 4.1 4.4
Repair of current obstetric laceration 355 548 612 660 690 762 795 795 790 860 910 964 1,061 1,082 1,093 1.6 2.3 2.6 2.7 2.8 3.1 3.2 3.2 3.1 3.4 3.5 3.7 4.0 4.0 4.0
Removal of coronary artery obstruction 4 (S) 82 133 184 227 259 285 331 399 398 428 434 666 686 926 (S) 0.3 0.6 0.8 0.9 1.1 1.2 1.3 1.6 1.6 1.7 1.7 2.5 2.5 3.4
Cesarean section 619 877 906 953 933 938 945 933 921 917 858 785 835 820 900 2.7 3.7 3.8 3.9 3.8 3.8 3.8 3.7 3.6 3.6 3.3 3.0 3.2 3.0 3.3
Hysterectomy 649 670 644 655 578 541 591 546 580 562 556 583 591 603 645 2.9 2.8 2.7 2.7 2.4 2.2 2.4 2.2 2.3 2.2 2.1 2.2 2.2 2.2 2.4
Reduction of fracture 5 605 681 673 685 639 671 609 665 633 656 568 577 604 642 610 2.7 2.9 2.8 2.8 2.6 2.7 2.4 2.7 2.5 2.6 2.2 2.2 2.3 2.4 2.2
Coronary artery bypass graft 137 230 284 332 353 368 392 407 468 485 501 573 598 607 553 0.6 1.0 1.2 1.4 1.5 1.5 1.6 1.6 1.8 1.9 1.9 2.2 2.3 2.2 2.0
Oophorectomy and salpingo-oophorectomy 483 525 502 490 451 421 476 458 464 443 445 447 475 481 491 2.1 2.2 2.1 2.0 1.9 1.7 1.9 1.8 1.8 1.7 1.7 1.7 1.8 1.8 1.8
Cholecystectomy 458 475 502 536 497 504 522 571 525 502 463 470 448 442 439 2.0 2.0 2.1 2.2 2.0 2.1 2.1 2.3 2.1 2.0 1.8 1.8 1.7 1.6 1.6
 
  Male, total 2 3 8,505 8,805 8,960 9,073 9,069 8,886 8,538 8,692 8,646 8,355 8,369 8,388 8,648 8,505 8,757 78.1 76.8 77.4 77.6 76.7 74.4 70.6 71.5 70.2 67.1 66.5 65.9 67.2 64.3 65.7
Cardiac catheterization 228 439 495 533 598 601 620 603 636 613 633 660 704 664 716 2.1 3.8 4.3 4.6 5.1 5.0 5.1 5.0 5.2 4.9 5.0 5.2 5.5 5.0 5.4
Removal of coronary artery obstruction 4 (S) 58 94 123 160 177 200 223 262 268 280 285 452 459 594 (S) 0.5 0.8 1.0 1.4 1.5 1.7 1.8 2.1 2.2 2.2 2.2 3.5 3.5 4.4
Coronary artery bypass graft 108 172 214 244 270 271 286 296 347 353 363 423 424 420 396 1.0 1.5 1.9 2.1 2.3 2.3 2.4 2.4 2.8 2.8 2.9 3.3 3.3 3.2 3.0
Reduction of fracture 5 325 339 350 367 337 342 300 337 311 294 261 251 256 298 282 3.0 3.0 3.0 3.1 2.8 2.9 2.5 2.8 2.5 2.4 2.1 2.0 2.0 2.3 2.1
Prostatectomy 335 367 367 410 358 376 364 363 353 317 263 239 203 223 203 3.1 3.2 3.2 3.5 3.0 3.1 3.0 3.0 2.9 2.5 2.1 1.9 1.6 1.7 1.5
Cholecystectomy 122 147 144 148 132 144 147 166 165 148 148 142 142 135 128 1.1 1.3 1.2 1.3 1.1 1.2 1.2 1.4 1.3 1.2 1.2 1.1 1.1 1.0 1.0
Repair of inguinal hernia 483 370 293 290 261 220 181 155 121 96 82 71 63 63 52 4.4 3.2 2.5 2.5 2.2 1.8 1.5 1.3 1.0 0.8 0.7 0.6 0.5 0.5 0.4
 
  Female total 2 3 15,989 15,994 16,081 16,583 16,555 14,484 14,513 14,711 14,607 14,411 14,260 14,142 14,333 14,423 15,022 137.1 130.6 130.2 133.0 131.5 114.0 113.0 114.0 112.0 109.3 107.1 105.3 105.9 104.4 107.5
Repair of current obstetric laceration 355 548 612 660 690 762 795 795 790 860 910 964 1,061 1,082 1,093 3.0 4.5 5.0 5.3 5.5 6.0 6.2 6.2 6.1 6.5 6.8 7.2 7.8 7.8 7.8
Cesarean section 619 877 906 953 933 938 945 933 921 917 858 785 835 820 900 5.3 7.2 7.3 7.6 7.4 7.4 7.4 7.2 7.1 7.0 6.5 5.8 6.2 5.9 6.4
Hysterectomy 649 670 644 655 578 541 591 546 580 562 556 583 591 603 645 5.6 5.5 5.2 5.3 4.6 4.3 4.6 4.2 4.4 4.3 4.2 4.3 4.4 4.4 4.6
Oophorectomy and salpingo-oophorectomy 483 525 502 490 451 421 476 458 464 443 445 447 475 481 491 4.1 4.3 4.1 3.9 3.6 3.3 3.7 3.5 3.6 3.4 3.3 3.3 3.5 3.5 3.5
Removal of coronary artery obstruction 4 (S) 24 39 62 67 82 85 107 136 130 148 149 214 227 332 (S) 0.2 0.3 0.5 0.5 0.6 0.7 0.8 1.0 1.0 1.1 1.1 1.6 1.7 2.4
Cholecystectomy 336 327 358 388 365 359 375 404 360 354 315 328 306 307 311 2.9 2.7 2.9 3.1 2.9 2.8 2.9 3.1 2.8 2.7 2.4 2.4 2.3 2.2 2.2
Coronary artery bypass graft 29 58 70 88 83 97 106 111 122 133 139 150 175 187 158 0.3 0.5 0.6 0.7 0.7 0.8 0.8 0.9 0.9 1.0 1.0 1.1 1.3 1.4 1.1
 
  Diagnostic and other nonsurgical
   procedures 3 6 6,918 11,961 12,959 13,463 13,567 16,672 17,455 20,519 19,381 18,842 18,081 17,278 17,417 17,582 17,720 30.7 50.5 54.1 55.7 55.6 67.6 70.0 81.9 76.5 73.5 69.8 66.1 66.0 65.0 64.9
Angiocardiography and arteriography 7 569 1,117 1,285 1,448 1,624 1,620 1,735 1,718 1,771 1,731 1,804 1,834 1,964 1,900 1,961 2.5 4.7 5.4 6.0 6.7 6.6 7.0 6.9 7.0 6.7 7.0 7.0 7.4 7.0 7.2
Diagnostic ultrasound 318 1,234 1,411 1,596 1,562 1,558 1,608 1,592 1,458 1,420 1,310 1,181 1,177 1,111 1,123 1.4 5.2 5.9 6.6 6.4 6.3 6.4 6.4 5.8 5.5 5.1 4.5 4.5 4.1 4.1
Respiratory therapy (S) 62 96 120 272 927 1,164 1,214 1,195 876 1,174 1,127 1,085 1,088 1,109 (S) 0.3 0.4 0.5 1.1 3.8 4.7 4.8 4.7 3.4 4.5 4.3 4.1 4.0 4.1
CAT scan 8 306 1,378 1,531 1,646 1,613 1,519 1,506 1,459 1,266 1,158 1,028 967 995 963 986 1.4 5.8 6.4 6.8 6.6 6.2 6.0 5.8 5.0 4.5 4.0 3.7 3.8 3.6 3.6
Manual assisted delivery 70 193 287 404 628 638 750 792 806 946 974 866 1,030 1,224 975 0.3 0.8 1.2 1.7 2.6 2.6 3.0 3.2 3.2 3.7 3.8 3.3 3.9 4.5 3.6
Fetal EKG and fetal monitoring 124 275 432 647 1,143 1,206 1,377 1,327 1,241 1,142 1,099 935 896 834 835 0.6 1.2 1.8 2.7 4.7 4.9 5.6 5.3 4.9 4.5 4.2 3.6 3.4 3.1 3.1
Endoscopy of small intestine without biopsy 281 525 569 655 510 547 549 536 564 495 488 450 383 390 401 1.2 2.2 2.4 2.7 2.1 2.2 2.2 2.1 2.2 1.9 1.9 1.7 1.5 1.4 1.5
Endoscopy of large intestine without biopsy 535 590 589 549 408 413 398 396 391 347 363 335 323 319 352 2.4 2.5 2.5 2.3 1.7 1.7 1.6 1.6 1.5 1.4 1.4 1.3 1.2 1.2 1.3
Radioisotope scan 525 838 851 759 704 635 603 539 464 412 355 306 298 259 267 2.3 3.5 3.6 3.1 2.9 2.6 2.4 2.2 1.8 1.6 1.4 1.2 1.1 1.0 1.0
Circulatory monitoring 76 635 799 821 846 779 724 703 596 505 427 375 337 265 240 0.3 2.7 3.3 3.4 3.5 3.2 2.9 2.8 2.3 2 1.6 1.4 1.3 1.0 0.9
Cystoscopy 867 645 622 593 542 487 485 427 379 300 276 213 190 179 177 3.8 2.7 2.6 2.5 2.2 2.0 1.9 1.7 1.5 1.2 1.1 0.8 0.7 0.7 0.6
 
  Male, total 3 6 3,386 5,889 6,359 6,643 6,665 7,202 7,378 8,572 8,149 7,787 7,501 7,261 7,350 7,313 7,431 31.1 51.4 54.9 56.8 56.4 60.3 61.0 70.5 66.2 62.5 59.6 57.1 57.1 55.3 55.7
Angiocardiography and arteriography 7 355 693 771 868 995 1,000 1,051 989 1,060 1,024 1,058 1,076 1,165 1,077 1,115 3.3 6.0 6.7 7.4 8.4 8.4 8.7 8.1 8.6 8.2 8.4 8.5 9.1 8.1 8.4
Respiratory therapy (S) 34 51 64 148 472 586 596 579 427 577 572 554 561 564 (S) 0.3 0.4 0.5 1.3 4.0 4.9 4.9 4.7 3.4 4.6 4.5 4.3 4.2 4.2
CAT scan 8 152 671 747 814 775 721 736 702 608 565 500 473 493 473 462 1.4 5.9 6.5 7.0 6.6 6.0 6.1 5.8 4.9 4.5 4.0 3.7 3.8 3.6 3.5
Endoscopy of small intestine without biopsy 117 243 261 314 231 256 255 266 273 223 239 213 188 179 189 1.1 2.1 2.3 2.7 2.0 2.2 2.1 2.2 2.2 1.8 1.9 1.7 1.5 1.3 1.4
Endoscopy of large intestine without biopsy 228 259 246 245 170 158 148 153 163 146 149 140 135 129 145 2.1 2.3 2.1 2.1 1.4 1.3 1.2 1.3 1.3 1.2 1.2 1.1 1.0 1.0 1.1
Circulatory monitoring 39 332 414 430 430 388 344 339 287 239 208 192 168 134 121 0.4 2.9 3.6 3.7 3.7 3.3 2.9 2.8 2.3 1.9 1.7 1.5 1.3 1.0 0.9
 
  Female, total 3 6 3,532 6,072 6,601 6,820 6,902 9,471 10,077 11,947 11,231 11,055 10,580 10,016 10,067 10,269 10,290 30.3 49.6 53.4 54.7 54.8 74.5 78.5 92.6 86.1 83.8 79.5 74.6 74.4 74.4 73.6
Manual assisted delivery 70 193 287 404 628 638 750 792 806 946 974 866 1,030 1,224 975 0.6 1.6 2.3 3.2 5.0 5.0 5.9 6.1 6.2 7.2 7.3 6.5 7.6 8.9 7.0
Fetal EKG and fetal monitoring 124 275 432 647 1,143 1,206 1,377 1,327 1,241 1,142 1,099 935 896 834 835 1.1 2.2 3.5 5.2 9.1 9.5 10.8 10.3 9.5 8.7 8.3 7.0 6.6 6.0 6.0
Diagnostic ultrasound 204 756 865 981 963 930 941 940 871 848 771 682 676 628 635 1.7 6.2 7.0 7.9 7.6 7.3 7.3 7.3 6.7 6.4 5.8 5.1 5.0 4.6 4.5
Respiratory therapy (S) 27 45 56 124 455 578 618 616 449 597 555 532 527 545 (S) 0.2 0.4 0.4 1.0 3.6 4.5 4.8 4.7 3.4 4.5 4.1 3.9 3.8 3.9
CAT scan 8 154 707 784 833 838 798 770 757 658 594 528 494 502 489 524 1.3 5.8 6.3 6.7 6.7 6.3 6.0 5.9 5.0 4.5 4.0 3.7 3.7 3.5 3.8
Endoscopy of small intestine without biopsy 164 281 309 341 279 291 294 270 292 272 249 236 195 212 212 1.4 2.3 2.5 2.7 2.2 2.3 2.3 2.1 2.2 2.1 1.9 1.8 1.4 1.5 1.5
Endoscopy of large intestine without biopsy 307 331 343 304 238 255 250 243 229 201 214 195 188 190 207 2.6 2.7 2.8 2.4 1.9 2.0 2.0 1.9 1.8 1.5 1.6 1.5 1.4 1.4 1.5
Circulatory monitoring 37 303 385 391 415 391 380 364 309 266 219 183 170 130 119 0.3 2.5 3.1 3.1 3.3 3.1 3.0 2.8 2.4 2.0 1.6 1.4 1.3 0.9 0.8




S Figure does not meet standard of reliability or precision.
1 Based on Census Bureau estimated civilian population as of July 1. Population estimates for the 1980's do not reflect revised estimates based on the 1990 Census of Population. Beginning 1997 population figures are adjusted for net underenumeration using the 1990 National Population Adjustment Matrix from the Census Bureau.
2 Includes other types of surgical procedures not shown separately.
3 Beginning in 1989, the definition of some surgical and diagnostic and other non-surgical procedures was revised, causing a discontinuity in the trends for some totals.
4 Beginning 1996 includes separately coded "insertion of stent".
5 Excluding skull, nose, and jaw.
6 Includes other non-surgical procedures not shown separately.
7 Using contrast material.
8 Computerized axial tomography.

Source: U.S. National Center for Health Statistics, Vital and Health Statistics, series 13; and unpublished data.

http://www.cdc.gov/nchs/ Terms relating to procedures

Discharges with procedures--The estimated number of patients discharged from non-Federal short-stay hospitals dur-ing the year who underwent at least one procedure during their hospitalization.

Procedure--A surgical or nonsurgical operation, diagnos-tic procedure, or special treatment reported on the medical record of a patient. (See the Medical coding and edit section of appendix I for further details.)

Procedures have been categorized into four classes according to UHDDS guidelines (47). Classes 13 consist of proce-dures that carry an operative or anesthetic risk or require highly trained personnel, special facilities, or special equip-ment. Class 4 procedures do not meet these criteria, and reporting class 4 procedures was optional in 1979. Only three class 4 procedures were coded for the NHDS from 1979 until 1983. The decision was made to code additional class 4 procedures in 1983, and the number coded was further expanded in 1989. Beginning with the 1991 data, all ICD9CM procedure codes have been used for the NHDS. Table XIII shows the code numbers for class 4 procedures and the year each code was first used in the NHDS.

All-listed procedures--All occurrences of a procedure on medical record, regardless of the order. In the NHDS a maximum of four procedures are coded for each discharge. Surgical proceduresAll procedures except those shown in table XIV are considered surgical procedures.

Nonsurgical procedures--Procedures generally not regarded as surgical, including diagnostic endoscopy and radiotherapy, physical medicine and rehabilitation, and other diagnostic and therapeutic procedures. The ICD9CM codes classified as nonsurgical procedures for the NHDS are shown in table XIV. The classification of procedures as surgical or nonsurgical was revised beginning with the 1989 data. Many of the procedures added to the nonsurgical category were class 4 procedures that had not been coded until 1983 or 1989. All obstetrical procedures were classified as surgical until 1989.



https://allcountries.org/uscensus/202_procedures_for_inpatients_discharged_from_short.html

These tables are based on figures supplied by the United States Census Bureau, U.S. Department of Commerce and are subject to revision by the Census Bureau.

Copyright © 2006 Photius Coutsoukis and Information Technology Associates, all rights reserved.